Mark S. Grucella, DDS

Dentist · Fairlawn, OH

Individual Active NPI

NPI number 1184711871

Practice location

620 Ridgewood Xing
Suite K
Fairlawn, OH 44333-3531
Phone
(330) 733-7911
Fax
(330) 376-5214

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NPI record

NPI
1184711871
Entity type
Individual (Type 1)
Enumeration date
October 6, 2006
Last updated
August 17, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30020854 OH

Mailing address

620 Ridgewood Xing
Fairlawn, OH 44333-3531
Phone
(330) 733-7911
Fax
(330) 376-5214

About Dr. Grucella

Mark S. Grucella, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 620 Ridgewood Xing, Suite K, Fairlawn, OH 44333-3531. The NPI number 1184711871 was assigned on October 6, 2006 and the record was last updated on August 17, 2009.

Dr. Grucella lists a license in the registry: #30020854 (OH) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark S. Grucella, DDS?

The NPI number is 1184711871.

What is the phone number of Dr. Grucella?

The phone number listed for the practice location is (330) 733-7911.

Where is Dr. Grucella located?

620 Ridgewood Xing, Suite K, Fairlawn, OH 44333-3531.

What is the taxonomy code for Dr. Grucella?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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